Royal Horseshoe Farm: Summer Camp Royal Horseshoe Farm Inc. 601 Morgan Ford Road Front Royal, VA (540)
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1 Ryal Hrseshe Farm: Summer Camp 2018 Ryal Hrseshe Farm Inc. 601 Mrgan Frd Rad Frnt Ryal, VA Dear Campers / Parents / Guardians, Web Site: ride@ryalhrseshe.cm Welcme! We are glad that yu have decided t jin us fr hrse camp. We lk frward t sharing the jys f riding and caring fr hrses with yu. Here are a few things yu need t knw and remember: Bring bathing suit and twel Wear clsed te shes with a small heel, preferably bts. Wear lng pants fr riding Bring r wear cl cttn shirts, having an extra ne is a gd idea Bring bag lunch with an extra beverage Sunscreen Bug spray N vide games r lud tys N guns r weapns f any type, including water guns $200 registratin fee is nn-refundable Strage space is limited Ryal Hrseshe Farm Inc. will prvide: Riding helmet-astm/sei apprved Pl with supervised swim time Hrses and tack- please d nt bring yur wn (unless crdinated in advance) Each camper will have her/his wn crate and will be respnsible fr his/her wn persnal prperty. We will have clers available fr campers lunches and beverages. Standard arrival time is between 8:45 and 9:00 a.m. at Ryal Hrseshe Farm Inc. Children can be drpped ff at the recreatin building at 601 Mrgan Frd Rad. Children must be picked up by 3:15 pm. Any ther arrangements MUST be apprved by prir t that day. Thank yu! We lk frward t meeting and getting t knw each f yu. Sincerely, The Staff at Ryal Hrseshe Farm Page 1 f 5
2 Ryal Hrseshe Farm: Summer Camp 2018 WHAT: Ryal Hrseshe Farm Summer Hrse Camp WHERE: Ryal Hrseshe Farm, Frnt Ryal, VA WHEN: Schedule: June 11th-15th June 18th-22nd June 25th-29th July 9th-13th July 16th-20th July 23rd-27th August 13th-17th August 20th-24th TIME: Day Camp Mnday thru Friday Drp ff campers between 8:45 and 9:00 a.m., and pick up by 3:15 pm COST: AGES: $ per 1 week sessin Typically 6-16, but we can accmmdate ther ages INCLUDES: & hrse care; Basic and intermediate riding instructin, grming, tack Page 2 f 5
3 Ryal Hrseshe Farm: Summer Camp Mrgan Frd Rad Frnt Ryal, VA Put in yur date preference(s) (reserved by rder f depsit received): 1st date preference: 2nd date preference (ptinal): 3rd date preference (ptinal): Name f Camper: City: Zip: Hme Phne: Age: Weight: Gender: Adult s Cell Phne r Frnt Ryal Area Phne: Adult s Fr minrs- Primary Cntact (Mther / Father / Guardian (Circle One)): Name: Hme Phne: Business Phne Cell Phne: Business Name: Business Address: Fr minrs- Secndary Cntact (Mther / Father / Guardian (Circle One)): Name: Hme Phne: Business Phne Cell Phne: Business Name: Business Address: Page 3 f 5
4 Ryal Hrseshe Farm: Summer Camp 2018 Fr Every Camper: In case f Emergency cntact (please prvide tw names and telephne numbers): Physician s Name: Phne: Allergies: Please list any special health cnditins: Additinal Cmments: I, hereby authrize Ryal Hrseshe Farm Inc. t secure medical services fr: (camper s name), if necessary. Signature (Parent / Guardian if camper is under 18) Date Payment (full payment: $350, minimum depsit: $200): Make checks payable t: Ryal Hrseshe Farm Credit Card (Visa, Master Card, Discver): 3 digit security cde: _ Card #: Expiratin Date (MM/YY): / Billing address (if different frm abve): Amunt Authrized: $ Signature: Page 4 f 5
5 Ryal Hrseshe Farm: Summer Camp 2018 Ryal Hrseshe Farm Inc. 601 Mrgan Frd Rad Frnt Ryal, VA I (/We (all further use f the wrd I includes the case f we )): (adult camper OR parent / legal guardian f the fllwing minr camper: ) certify that I am cgnizant f Virginia Cde which reads as fllws: Under Virginia law, an equine activity spnsr r equine prfessinal shall nt be liable fr an injury t, r the death f, a participant engaged in an equine activity resulting frm the inherent risks f equine activities. I recgnize that hrses are unpredictable animals, and that there are significant risks f injury inherent and assciated with hrses and hrse related activities, including, but limited t trailering, lading, barding, riding, grming, saddling, feeding and caring fr hrses. Knwing f the inherent risks, dangers and rigrs invlved in such hrse activities, I certify that I understand the risks assciated therewith, that I am fully capable f participating in said activities, and that I d s at my wn risk. Ryal Hrseshe Farm Inc. and staff require the wearing f prtective headgear (hardhat) and recmmend bts r clsed-te shes with a heel. I hereby release and hld harmless Ryal Hrseshe Farm Inc. and any staff member r instructr/demnstratr affiliated with Ryal Hrseshe Farm Inc. frm any respnsibility and I assume the risk fr any ccurrence related t the summer camp activities, including but nt limited t swimming, hiking, nature studies, hrseback riding, arts and crafts etc. which may result in death, injury, r any ther damages. I assume all respnsibility fr the required physical fitness and ability t perfrm, under nrmal cnditins, the rigrs assciated with hrse camp activities. I further state that I am f lawful age and cmpetent t sign this affirmatin and release and that by signing I understand the terms herein. In witness wheref I have executed this affirmatin and release at: (lcatin) n this day f, 20. Signature (Parent / Guardian if camper is under 18) Page 5 f 5
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